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The role of transesophageal echocardiography in evaluation and management of hypoxia following lung transplantation


1 Consultant Cardiac Anesthesia, MIOT International Hospitals, Chennai, Tamil Nadu, India
2 Consultant Adult Cardiothoracic Anesthesia, MIOT International Hospitals, Chennai, Tamil Nadu, India
3 Additional Director, Heart Lung Transplant Institute, Secunderabad, Telangana, India
4 Founder Director and Chair of Advanced Heart Failure, Terminal Lung Diseases and The Solid Thoracic Organ Transplant Program, KIMS Institute of Heart, Lung Transplantation, Secunderabad, Telangana, India

Correspondence Address:
P Hemamalini
No 15, Sri Rajarajeshwari Nagar, 1st Main Road, Old Perungalathur, Chennai - 600 063, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_96_21

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Year : 2022  |  Volume : 25  |  Issue : 3  |  Page : 356-358

 

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Pulmonary vein thrombosis (PVT) is a potentially fatal complication following lung transplantation (LT). The clinical presentation of PVT is nonspecific and mimics other common postoperative complications such as reperfusion injury, infection, and rejection. Transesophageal echocardiography (TEE) plays a pivotal role in detecting abnormalities of the pulmonary venous anastomosis in the perioperative period. Echocardiographic findings that warrant concern include a visible thrombus in pulmonary vein, pulmonary vein diameter <5 mm, turbulence on color Doppler, and peak systolic velocity >100 cm/s. Transplant centers should strongly consider TEE in individual patients with unexplained graft failure.






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1 Consultant Cardiac Anesthesia, MIOT International Hospitals, Chennai, Tamil Nadu, India
2 Consultant Adult Cardiothoracic Anesthesia, MIOT International Hospitals, Chennai, Tamil Nadu, India
3 Additional Director, Heart Lung Transplant Institute, Secunderabad, Telangana, India
4 Founder Director and Chair of Advanced Heart Failure, Terminal Lung Diseases and The Solid Thoracic Organ Transplant Program, KIMS Institute of Heart, Lung Transplantation, Secunderabad, Telangana, India

Correspondence Address:
P Hemamalini
No 15, Sri Rajarajeshwari Nagar, 1st Main Road, Old Perungalathur, Chennai - 600 063, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_96_21

Rights and Permissions

Pulmonary vein thrombosis (PVT) is a potentially fatal complication following lung transplantation (LT). The clinical presentation of PVT is nonspecific and mimics other common postoperative complications such as reperfusion injury, infection, and rejection. Transesophageal echocardiography (TEE) plays a pivotal role in detecting abnormalities of the pulmonary venous anastomosis in the perioperative period. Echocardiographic findings that warrant concern include a visible thrombus in pulmonary vein, pulmonary vein diameter <5 mm, turbulence on color Doppler, and peak systolic velocity >100 cm/s. Transplant centers should strongly consider TEE in individual patients with unexplained graft failure.






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